Kuvhiya Kwekuvhiya | "Kirschner wire tension band tekinoroji" yekugadziriswa kwemukati mukurapa kweBennett's kupwanya

Bennett's Fracture maakaundi e1,4% yemaoko emaoko. Kusiyana neyakajairwa majasi ezvikamu zvehembe dzemazasi metacarpafu, kutamiswa kwebhenji kuputswa kwakasiyana chaizvo. Iyo proximal yekunyepedzera kumeso kwayo inochengetwa mune yayo yekutanga anatomical chinzvimbo nekuda kwekudhirowa kweiyo oblique metacarlis Lighsius Longos uye Adductor Policis tendons, disdouradially uye suptaradially uye suptaradially uye suptoradially

Zvekutakurirwa Bennett's Fractures, kurapa kwekuvhiya kunowanzo kurudzirwa kuti udzivise kukanganisa kweiyo carpometarpal Joint uye tum. Panyaya yekuvhiya yekurapa nzira, ndiro uye screw gadziriso masisitimu, pamwe neKiriviri waya waya yekugadziriswa kwemukati, inoshandiswa zvakanyanya muitiro wekiriniki. Nyanzvi kubva kuchipatara chechitatu hwaHebei hwakatsvaga kirivha wire tension band tension, izvo zvinosanganisira zvishoma zvinosanganisira zvidiki zvekutora zvibodzwa zveBennett, kuwana zvibodzwa zvakanaka.

Nhanho 1: Gadzira iyo 1,3 cm incision pane radial side of the carpometacarpal Joint kufumura nzvimbo yakananga kuUlnar Side, uye kufumura iyo dorsal rutivi rwe carpometarpal Joint.

Nhanho yechipiri: Nyorera Manual Traction uye pranate chigunwe kuti uderedze kupwanya. Isa 1 mm Kirschner waya kuburikidza neakashata kupwanya magumo, 1-1.5 cm kure ne carpometacarpal Joint, kugadzirisa iyo proximal pfupa. Mushure mekufa kweKiriviri

Nhanho 3: Tora waya uye uzviise mumufananidzo wechisere mumigumo miviri yekiriviri yekirese waya waya, wobva warichengetedza munzvimbo.

Iyo Kirschner Wire Tension Band Technique yaiswa mumatanho mazhinji, asi kune zvikamu zveBennett, chidimbu chidiki chinowanzoguma nekuonekwa kwevarombo uye kuita kuti maitiro ekurwadza. Pamusoro pezvo, kana bracture iri kufambidzana, imwe kirivener waya yaya inogona kusanyatso kudzikamisa chidimbu chepfungwa. Kushanda kwayo kwekiriniki kunogona kushoma. Kunze kweiyo fungidziro yambotaridzwa band fixation nzira, kune zvakare kirivan wire gadziriro yakasanganiswa pamwe nedambudziko rekusungwa kwebhendi, iyo zvakare yakataurwa zvakare mumabhuku.